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03/01/2010 MON 15:26 FAX 402 471 4429 UCC SECRETARY OF STATE ~y~ Hall <br />~~ <br />201001333 <br />Please forwazd to: <br />Nebraska Department of Revenue <br />4500 Ave I PQ Box 1500 <br />Scottsbluff, NE 69363-150p <br />X003/008 <br />NE See of ftNo Jahn p 6rle - I1CC T09 <br />9910621030-2 Pgs: 1 <br />GARCIA ,]UI~IE A <br />Fated: aaietrz®tla r>ta:es art <br />;~~,y~~, ~~~~,~te1~,~ State Tax Lien Statement of Termination or <br />E"1r1fE1~E Certificate of Partial Release or <br />vvwYwM.rrvr nor. lw p _p~hf <br />Subordination <br />DO NOT WRITE IN THIS <br />Pursuant to the revenue laws of the State of Nebraska, notitre la hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below-named taxpayer, is <br />terminated, partially released, ar subordinated to the extent indicated <br />below, <br />Nebraska Identification Number Federal Idantiricadon Number Social Security Number Spouse's Social Security Number <br />40363775 XXX-XX-5916 <br />Lien Serial Number Lien filed with Date of Lien Tax Category County <br />53140078 []X Register of Deeds county Clerk 06/21/2006 22 HBII <br />BUSINESS NAME A ND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Julie A Garcia <br />Street Address Street or Mailing Address <br /> 1103 W Louise <br />City State Zip Code City State Zip Code <br /> Grand Island NE 68801 <br /> Type of Action <br />nX TERMINATION OF TAX UEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number 99064580607 ~~ <br />County Instrument Number 200fi05568 <br />TAX YEARS (corporate, individual Income, and withholding tax only) 2003 <br />PARTIAL RELEASE. The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />TAX YEARS (corporate, Individual income, and withholding tax only) <br />SUBORDINATION. The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />sign <br />here <br />ie revenue laws of the State of Nebraska in <br />02/25/2010 308 632-1200 <br />Date Telephone Number <br />02/25/2010 <br />Date <br />~ nv~ y nny u~a~ u <br />detenni on of th to <br />w <br />Prepa is Si nature <br />Authorized Signature <br />viasRe veparrmen[ or revvenue nas Compueo wltn tl <br />i lion partial release, or subordination indicated above, <br />Revenue Agent <br />Title ~ ~~ <br />Revenue Senior A ent <br />Title <br />~-232$8 Rev. 8.86 Sup4rssdes 4-2329 Rev. 1x95 <br />i <br />